【作者】 刘思平； 杜秀华； 林双容； 卢思毅；

【Author】 LIU Si - ping, TU Xiu - hua, LING Shong - rang, LU Si - yi (Department of Urology ,Meizhou People’s Hospital, Meizhou, Guangdong 514031 ,P. R. China)

【机构】 广东省梅州市人民医院泌尿外科；

【摘要】 目的探讨经尿道汽化术联合电切术治疗前列腺增生症(BPH)的临床效果。方法联合交替应用经尿道前列腺电气化术(TUVP)和前列腺电切术(TURP)治疗BPH 263例。结果263例患者手术过程顺利,无严重并发症,术后留置尿管3-7 d,随访0.5～2.0 a,拔除尿管后排尿通畅,临床症状明显改善,IPSS由术前(28.9±1.1)分(P<0.01),下降至术后(12.2±1.1)分(P<0.01),最大尿流率(Qmax)由术前5.3 mL/s增加至术后16.2 mL/s(P<0.01)。结论经尿道电汽化术联合电切术治疗BPH具有安全、出血少、并发症少、易掌握的特点,是治疗BPH较理想的手术方法。更多还原

【Abstract】 [Objective] Explore the clinical effect of using TUVP and TURP through urethra to treat BPH. [Method] 263 cases were used TUVP and TURP through urethra to treat BPH. [Result] The course of 263 operation cases were smooth, and serious complications was not found, After operation, the patients was placed the catheter for 3 days to 7 days. The doctor visited them for half a year to 2 years. The patients was pulled out the catheter, the patients urinated smoothly, and the clinical symptom was improved clearly. The IPSS (P<0.01) was descended from 28.9±1.1 ( before operation) to 12.2±1.1 ( after operation) , and the Qmax( P<0.01) was increased from 5.3 mL/s (before operation) to 16.2 mL/s ( after operation). [Conclusion] The operation of using TUVP and TURP through urethra to treat BPH, is safe, bleed little, has less complications, and is easily mastered, so it is a perfect operation method to treat BPH.更多还原